The health-systems response to violence against women

García‐Moreno, Claudia; Hegarty, Kelsey; d’Oliveira, Ana Flávia Pires Lucas; Koziol‐McLain, Jane; Colombini, Manuela; Feder, Gene

doi:10.1016/s0140-6736(14)61837-7

Cited by 538 publications

(623 citation statements)

References 59 publications

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“…Studies point out that it is important for health professionals to remain available for the demands of women in situations of violence, listening to them with empathy, and offering them a safe space where confidentiality of the reported information on the experienced violence is guaranteed (3) . Moreover, considering that manifestations of violence are explicit and nonexplicit, the attitude of listening becomes critical, as demonstrated by a study conducted with PHC professionals of Catalonia and Costa Rica (8) .…”

Section: Discussionmentioning

confidence: 99%

“…Thus, it is necessary to invest in political, social, and economic actions promoted by government, institutions that provide care for these women, and society as a whole (1) . In this perspective, the health sector has to be part of the multisectoral response (1,3) , as alone it cannot meet the needs of women in situations of violence given the complexity of this problem.…”

Section: Introductionmentioning

confidence: 99%

“…It is defined as "a network of organizations that provide or make arrangements to offer equitable and comprehensive health services to a defined population" (4) . In the health sector, particularly in the scope of Primary Health Care (PHC), professionals are in a strategic position to provide care for women in situations of violence (3,5) , showing the importance of supporting, listening, and providing follow-up (6) . Therefore, when PHC is inserted in the health care networks it reorients the system rather than being just a level of it (7) .…”

Section: Introductionmentioning

confidence: 99%

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Health care for women in situations of violence: discoordination of network professionals

Arboit

Padoin

Vieira

et al. 2017

Rev. esc. enferm. USP

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OBJECTIVE To learn the conceptions and actions of health professionals on the care network for women in situations of violence. METHOD A qualitative, descriptive, exploratory study was conducted between April and July 2015 with the participation of 21 health professionals from four primary health care teams in a city of the central region of the state of Rio Grande do Sul. Data were collected by means of individual semi-structured interviews. Content analysis was used for data systematization. RESULTS Health professionals recognized the importance of the health care network for coping with the problem of violence against women. However, their conceptions and actions were limited by the discoordination or absence of integration among professionals and services of the care network. CONCLUSION The conceptions and actions of health professionals contribute to the discoordination among the services. It is necessary to reflect on the daily practices of care for women in situations of violence.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Health care for women in situations of violence: discoordination of network professionals

Arboit

Padoin

Vieira

et al. 2017

Rev. esc. enferm. USP

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“…Specifically the need to coordinate health and social services across sectors was highlighted as a necessity to improve the system's response to violence against women 49 , a finding that was reiterated with the case management and systems navigation role along with the relationship building and community engagement adaptation strategies. Community mobilization through education, awareness, and actions has been highlighted as foundational in addressing intimate partner violence 50 and was a strategy being utilized by this rural shelter.…”

Section: Discussionmentioning

confidence: 99%

A rural shelter in Ontario adapting to address the changing needs of women who have experienced intimate partner violence: a qualitative case study

Mantler

Wolfe

2017

Rural Remote Health

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A B S T R A C TIntroduction: Intimate partner violence is a significant public health problem, with shelters offering the predominant communitybased solution. Shelters in Canada are mandated to provide a safe place, protection planning, advocacy and counseling among other services. Recently it has been noted the role of the shelter was shifting from an inpatient to outpatient model with a focus on increased integration of health and social services. This changing role of the shelter is amplified within the rural context where resources and cultural norms may be limited or incompatible with help-seeking behaviors. Women's shelters located in rural settings provide services within a specific cultural context that can be at odds with the needs of women who have experienced abuse, because cultural values such as rural pride, lack of anonymity, and lack of services may inhibit access to health and social services. Methods: The purpose of this in-depth qualitative case study was to examine and explore how one rural Canadian women's shelter role was changing and how the shelter was adapting to achieve the changing role. The theoretical framework utilized was a feminist intersectional lens. Qualitative interviews (averaging 60 minutes) were conducted with shelter service providers (n=6) and women staying in the shelter or utilizing shelter services (n=4). Throughout semi-structured interviews, data-trustworthy steps were taken including member-checking and paraphrasing to ensure data were an accurate representation of participants' experiences. Inductive content analysis of all interviews and field notes was conducted independently by two researchers. Results: Analysis revealed the shelter's role was changing to include filling gaps, case management, and system navigation. To achieve the changing role, relationship building, community mobilization (both education and empowerment), and redesigning © T Mantler, B Wolfe, 2016. A Licence to publish this material has been given to James Cook University, http://www.jcu.edu.au 2 delivery were implemented as adaptation strategies. Together both the changing role of the shelter and the adaptation strategies being implemented were found to be working toward a larger goal of transformation of cultural and structural norms related to violence against women. Conclusions: This study uniquely identified the specific changes to the role of one rural Canadian shelter and the adaptations strategies utilized to adapt to the changing needs of women. The changing role of the shelter and the adaptation strategies being utilized have significant implications for the health of women given the increased use of healthcare services for women who have experienced violence. Specifically, the changing role of the shelter has the potential to decrease healthcare service use while increasing the potential fit of services. Further research is required to assess the impact of the changing role of the shelter on the healthcare needs and outcomes for women who have experienced intimate partner violence.Ke...

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“…Health providers often fail to document current and past episodes of violence and limit their role to treating physical signs and symptoms. 9 This further acts as a barrier in estimating the health consequences of domestic violence as it remains unreported at the level of health facilities. This paper focuses on fire-related burn injuries among women in India, one of the lesser acknowledged forms of VAW, based on the literature published in the last few decades by medical professionals, health researchers and women's groups.…”

Section: Introductionmentioning

confidence: 99%

Gendered pattern of burn injuries in India: a neglected health issue

Bhate-Deosthali

Lingam

2016

Reproductive Health Matters

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There are an estimated 7 million burn injuries in India annually, of which 700,000 require hospital admission and 140,000 are fatal. According to the National Burns Programme, 91,000 of these deaths are women; a figure higher than that for maternal mortality. Women of child bearing age are on average three times more likely than men to die of burn injuries. This paper reviews the existing literature on burn injuries in India and raises pertinent issues about prevalence, causes and gaps in recognising the gendered factors leading to a high number of women dying due to burns. The work of various women's groups and health researchers with burns victims raises several questions about the categorisation of burn deaths as accident, suicide and homicide and the failure of the health system to recognise underlying violence. Despite compelling evidence, the health system has not recognised this as a priority. Considering the substantial cost of burns care, prevention is the key which requires health systems to recognise the linkages between burn injuries and domestic violence. Health systems need to integrate awareness programmes about domestic violence and train health professionals to identify signs and symptoms of violence. This would contribute to early identification of abuse so that survivors are able to access support services at an early stage.

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The health-systems response to violence against women

Cited by 538 publications

References 59 publications

Health care for women in situations of violence: discoordination of network professionals

Health care for women in situations of violence: discoordination of network professionals

A rural shelter in Ontario adapting to address the changing needs of women who have experienced intimate partner violence: a qualitative case study

Gendered pattern of burn injuries in India: a neglected health issue

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